Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,288.25 / $13,489.63	Facility		$812.83	$1,288.25	$13,489.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $812.83 / $1,995.26	Professional		$758.58	$812.83	$1,995.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $7,943.28 / $13,182.57	Facility		$5,011.87	$7,943.28	$13,182.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,548.82 / $3,890.45	Professional		$758.58	$1,548.82	$3,890.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,454.71 / $3,890.45	Facility		$2,089.30	$2,454.71	$3,890.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $2,570.40 / $2,884.03	Professional		$1,122.02	$2,570.40	$2,884.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $6,760.83 / $13,489.63	Facility		$870.96	$6,760.83	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,995.26 / $2,454.71	Professional		$1,445.44	$1,995.26	$2,454.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $5,128.61 / $8,317.64	Facility		$870.96	$5,128.61	$8,317.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,380.38 / $6,025.60	Professional		$776.25	$1,380.38	$6,025.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,047.13	Professional		$32.36	$33.11	$1,047.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,819.70 / $3,090.30	Professional		$933.25	$1,819.70	$3,090.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $6,456.54 / $6,456.54	Facility		$2,089.30	$6,456.54	$6,456.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $3,890.45 / $6,025.60	Professional		$1,096.48	$3,890.45	$6,025.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $4,168.69	Professional		$4,168.69	$4,168.69	$4,168.69
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $4,786.30 / $5,888.44	Professional		$2,570.40	$4,786.30	$5,888.44
United Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $7,413.10 / $9,120.11	Facility		$4,073.80	$7,413.10	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,288.25 / $3,388.44	Professional		$758.58	$1,288.25	$3,388.44